Dr. Larry L Rutledge
Psychologist Clinical Psychologist Rehabilitation Psychologist
111a Roosevelt Blouevard
Johnstown
, Pennsylvania 15901
Dr. Larry L Rutledge
Psychologist Clinical Psychologist Rehabilitation Psychologist
111a Roosevelt Blouevard
Johnstown
, Pennsylvania 15901
(814) 410-8331
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About
Features
Specialties
- Clinical Psychologist
- Psychologist
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Dr. Larry L Rutledge
- 1086 Franklin St
- Johnstown, PA
- Zip : 15905-4305
- Fax : (814) 410-8331
- Phone : (814) 410-8330
Second Address
- Dr. Larry L Rutledge
- 111a Roosevelt Blouevard
- Johnstown, PA
- Zip : 15901
- Fax : (814) 539-0985
- Phone : (814) 619-4223
Reviews
FAQs
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Is Dr. Larry L Rutledge a sole practitioner?
Is Dr. Larry L Rutledge accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | PS-008498-L | PA |
| N | 103TC0700X | Clinical Psychologist | PS-008498-L | PA |
| N | 102L00000X | Psychologist | PS008498L | PA |
| N | 103T00000X | Psychologist | PS008498L | PA |
| N | 103TR0400X | Rehabilitation Psychologist | PS-008498-L | PA |
National Provider Identifier
| NPI | 1245236835 |
|---|---|
| Provider Name | Dr. Larry L Rutledge |
| First Address | Johnstown, PA 15905-4305 |
| Second Address | Johnstown, PA 15901 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| S09443 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.